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Neil Winger, a primary care doctor affiliated with the UCLA Health Ethics Center, discusses advance directives, which are legal documents allowing individuals to express their treatment preferences when they cannot make decisions for themselves. He highlights the importance of shared decision-making between doctors and patients, but notes that in certain situations—such as severe illness or unconsciousness—patients may be unable to communicate with their physicians. In such cases, it's crucial to designate a person, such as a spouse, sibling, or trusted friend, to make decisions on their behalf. However, the challenge arises if the chosen individual isn't well-known to the medical team, emphasizing the need for advance directives.